Knowing-How to Fulfil One's Duties

The introduction of respect for patients’ autonomy is a long awaited, and most welcome, development in medical ethics. In daily life, however, some of these duties may clash, leading to dilemmas. Putting the health and well-being of the patient first may sometimes conflict with effectively respecting her autonomy, especially when there is disagreement on the best course of action. What happens if physician A believes, in her best judgment, that x is the best option, but patient B wants y? What does it mean to put the patient’s wellbeing first and, at the same time, respect his autonomy?